You have accessJournal of UrologyBladder Cancer: Invasive II1 Apr 2015MP58-03 IDENTIFICATION OF SPECIFIC METHYLATION-BASED BIOMARKERS FOR THE ASSESSMENT OF THE METASTATIC RISK OF MUSCLE INVASIVE BLADDER CANCER Beatrice Stubendorff, Kerstin Wilhelm, Kathleen Posselt, James Catto, Elke Schaeffeler, Matthias Schwab, Arndt Hartmann, Susanne Füssel, Vladimir Novotny, Mieczyslaw Gajda, Marc-Oliver Grimm, Michael Stöckle, and Kerstin Junker Beatrice StubendorffBeatrice Stubendorff More articles by this author , Kerstin WilhelmKerstin Wilhelm More articles by this author , Kathleen PosseltKathleen Posselt More articles by this author , James CattoJames Catto More articles by this author , Elke SchaeffelerElke Schaeffeler More articles by this author , Matthias SchwabMatthias Schwab More articles by this author , Arndt HartmannArndt Hartmann More articles by this author , Susanne FüsselSusanne Füssel More articles by this author , Vladimir NovotnyVladimir Novotny More articles by this author , Mieczyslaw GajdaMieczyslaw Gajda More articles by this author , Marc-Oliver GrimmMarc-Oliver Grimm More articles by this author , Michael StöckleMichael Stöckle More articles by this author , and Kerstin JunkerKerstin Junker More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2142AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Adjuvant chemotherapy improves the outcome of bladder cancer patients at risk for the development of metastases. However, there are no parameters available that allow an individual risk assessment. The aim of this project is to identify a specific DNA methylation pattern that provides a reliable tool for prognosis assessment of muscle invasive bladder tumors and to understand metastasis associated processes regulated by DNA methylation. METHODS we validated differentially methylated genes in two independent cohorts of primary bladder tumors (n=91). Candidate promoter methylation and gene expression were assessed by quantitative analysis of DNA methylation using real-time PCR and qRT-PCR. Quantitative CpG specific methylation level of KISS1R was performed with MALDI-TOF-MS and analyzed using Epityper 1.0 software. Protein expression was determined by immunohistochemical analysis for KISS1R on tissue microarrays from 2 independent patient cohorts comprising 291 muscle-invasive bladder carcinomas. For analyzing the gene function in tumor cell behavior, bladder cancer cells were transfected with siRNA or cDNA clones. Changes in proliferation and migration were measured using real-time cell monitoring. Invasion assay was performed using matrigel coated cell culture inserts. RESULTS Methylation differences were confirmed for KISS1R, SEPT9 (p=0.002) and CSAD (p=0.01). MALDI-TOF analysis provided a tool to validate the DNA methylation at single CpG resolution. The combination of the three genes predicted the metastatic risk of the primary tumors with sensitivity of 90% and specificity of 67% in patient cohort 1 and sensitivity of 75% and specificity of 70% in patient cohort 2. Protein expression of KISS1R was significantly reduced in correlation to positive lymph nodes (p<0.001). Knock down of SEPT9v3 resulted in increased cell migration by 28% (p=0.04) and increased invasion by 22% (p=0.004). Overexpression of KISS1R resulted in decreased cell migration (25%, p=0.1). CONCLUSIONS Muscle-invasive bladder tumors show significant differences in the DNA methylation pattern in correlation to the metastatic potential. KISS1R is characterized by strongest association with the metastatic risk of primary tumors on methylation. Reduced expression of KISS1R and SEPT9 regulated by DNA methylation seems to be involved in metastasis-associated processes. The combination of candidate genes KISS1R, CSAD and SEPT9 could serve as prognostic marker panel for determination of the metastatic risk of primary bladder tumors. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e722 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Beatrice Stubendorff More articles by this author Kerstin Wilhelm More articles by this author Kathleen Posselt More articles by this author James Catto More articles by this author Elke Schaeffeler More articles by this author Matthias Schwab More articles by this author Arndt Hartmann More articles by this author Susanne Füssel More articles by this author Vladimir Novotny More articles by this author Mieczyslaw Gajda More articles by this author Marc-Oliver Grimm More articles by this author Michael Stöckle More articles by this author Kerstin Junker More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...